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Hawaii rates for HCPCS 90715

Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $186.21 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $38.90 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $47.86 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $75.86
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $52.48